Provider Demographics
NPI:1336796762
Name:SWIFT, INDIA RENEE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:INDIA
Middle Name:RENEE
Last Name:SWIFT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6756 LANGLEY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-5178
Mailing Address - Country:US
Mailing Address - Phone:225-769-6161
Mailing Address - Fax:225-769-7661
Practice Address - Street 1:7069 PERKINS RD STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-7201
Practice Address - Country:US
Practice Address - Phone:225-769-6161
Practice Address - Fax:225-769-7661
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA102752251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic